Organization Active NPI

JDM Partners LLC

Doing business as Jenkintown Dental Medicine

  • Dentist
  • Jenkintown, PA
National Provider Identifier
1144591140
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS027199L Issued in PA
Legal business name
JDM PARTNERS LLC
Doing business as
Jenkintown Dental Medicine
Practice address
123 Old York Rd
Suite 201
Jenkintown, PA 19046-3926
Phone
(215) 885-6565
NPI assigned
Jan 23, 2012
Last updated
Jan 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian Wilk, D.M.DNPI 1437243557
Title
Chief Dental Officer
Phone
(215) 822-1866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS027199L PA Primary

Addresses

Primary practice location

123 Old York Rd
Suite 201
Jenkintown, PA 19046-3926

Mailing address

200 Highpoint Dr
Suite 220
Chalfont, PA 18914-3925
Phone (215) 822-1866

Other names 1

  • Jenkintown Dental Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

200 Highpoint Dr
Ste 220
Chalfont, PA 18914
Phone (215) 488-7855

123 Old York Rd
Ste 201
Jenkintown, PA 19046
Phone (215) 572-8822

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1144591140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGHPOINT DR",
            "address_2": "SUITE 220",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143925",
            "telephone_number": "215-822-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 OLD YORK RD",
            "address_2": "SUITE 201",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463926",
            "telephone_number": "215-885-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDM PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "WILK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF DENTAL OFFICER",
        "authorized_official_telephone_number": "215-822-1866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS027199L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenkintown Dental Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.